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S A N,J O A Q U I N Environmental Health Department <br /> Underground Storage Tank Prod Iron Report <br /> Facility Name: Facility Address: Date: <br /> TIWANA GAS&FOOD 1210 E HAMMER LN, STOCKTON June 29, 2018 <br /> Documents provided: Return to compliance certification. <br /> Note: Service request SR0078906 was approved on 5/9/2018 and the operator Jesse Tiwana stated that the <br /> work to address the failures in UDC 5/6 and the 91 product line is scheduled to start on 7/5/2018. <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: June 29, 2018 Inspector: Inspector Phone: <br /> c5LY-) Printed Name and Title: ZUNA BARKER, EH Specialist (209)953-7311 <br /> Jesse Tiwana, <br /> FA0003730 PR0231125 SCO01 06/29/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 8 of 8 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />